木防己(三两。) 桂枝(二两。) 茯苓 人参(各四两。) 芒硝(三合。)
上五味。以水六升。煮取二升。去滓。内芒硝。再微煎。分温再服。微利则愈。
歌曰 四两苓加不用膏。芒硝三合展奇韬。气行复聚知为实。以软磨坚自不劳。
魏念庭云。前方去石膏加芒硝者。以其邪既散而复聚。则有坚定之物留作包囊。故以坚
投坚
治心下有支饮。其人苦冒眩者主之。
泽泻(五两。) 白术(二两。)
上二味。以水二升煮。取一升。分温再服。
歌曰 清阳之位饮邪乘。眩冒频频苦不胜。泽五为君术二两。补脾制水有奇能。
受业林礼丰按。心者阳中之阳。头者诸阳之会。人之有阳气。犹天之有日也。天以日而
光明
会于
传者。故主以泽泻汤。盖泽泻气味甘寒。生于水中。得水阴之气而能利水。一茎直上。能从
下而上。同气相求。领水阴之气以下走。然犹恐水气下而复上。故用白术之甘温崇土制水者
以堵之
目之说
熄。然
斯道者
治支饮胸满者。此汤主之。
浓朴(一尺。) 大黄(六两。) 枳实(四枚。)
上三味。以水五升。煮取二升。分温再服。
歌曰 胸为阳位似天空。支饮填胸满不通。尺朴为君调气分。四枚枳实六黄攻。
元犀按。支饮者。有支派之别也。胸乃阳气之道路。饮为阴邪。言胸满者。乃阴占阳位。
填塞胸中而作满也。君以浓朴者。味苦性温。为气分之药。苦降温开。使阳气通。则胸中之
饮化矣。枳实形圆臭香。香以醒脾。圆主旋转。故用以为佐。继以大黄。直决地道。地道通。
则饮邪有不顺流而下出哉。
又按。小承气汤是气药为臣。此汤是气药为君。其意以气行而水亦行。意深矣。三物汤、
小
木防己(三两。) 桂枝(二两。) 茯苓 人参(各四两。) 芒硝(三合。)
以上五味药。用水六升。煮取二升药液。滤去药渣。加入芒硝。再稍微煎煮。分两次温服。轻微腹泻即可痊愈。
歌诀曰:四两茯苓加入而不用石膏。芒硝三合展现奇妙韬略。气机运行后又聚集说明病邪属实。以软坚之性磨削坚硬结块自然不费力。
魏念庭说。前方去掉石膏加入芒硝的原因。是因为邪气已经散开又重新聚集。就有坚固的东西留存作为包囊。所以用坚硬之物对抗坚硬之物。
治疗心下有支饮(水饮停聚于胸膈之间)。病人痛苦于头目昏眩的。以此方主治。
泽泻(五两。) 白术(二两。)
以上两味药。用水二升煮。取一升药液。分两次温服。
歌诀曰:清阳之位被饮邪乘虚而入。眩晕昏冒频繁痛苦不堪。泽泻五两为君药白术二两。补脾制水有奇特功效。
受业弟子林礼丰按语。心是阳中之阳。头部是诸阳经汇聚之处。人的阳气。就像天空中的太阳一样。天因为有太阳而光明。
汇聚于头部。所以主治用泽泻汤。大概泽泻气味甘寒。生长在水中。得到水阴之气所以能利水。一根茎直上。能从下而上。同气相求。引导水阴之气向下行走。然而还担心水气下去后又上来。所以用白术的甘温来崇土制水的方法来堵塞它。
眼睛的说法。熄灭。然而掌握此道的人。
治疗支饮导致胸部胀满的。此汤主治。
浓朴(一尺。) 大黄(六两。) 枳实(四枚。)
以上三味药。用水五升。煮取二升药液。分两次温服。
歌诀曰:胸部是阳位类似天空。支饮填塞胸部胀满不通。一尺厚朴为君药调理气分。四枚枳实六两大黄攻逐。
元犀按语。支饮。是有分支派别的区别。胸部是阳气运行的道路。饮邪属于阴邪。说胸部胀满。是阴邪占据阳位。
填塞胸中导致胀满。以厚朴为君药。味道苦性质温。是气分的药物。苦降温开。使阳气通畅。那么胸中的
饮邪就能化解了。枳实形状圆气味香。香气可以醒脾。圆形主旋转。所以用它作为佐药。接着用大黄。直接决通地道。地道通畅。
那么饮邪有不顺着水流向下排出吗?
又按语。小承气汤是以气药为臣药。此汤是以气药为君药。其用意在于气行则水亦行。意思深远了。三物汤、小
Mu Fang Ji (3 liang), Guizhi (2 liang), Fuling, Renshen (each 4 liang), Mangxiao (3 he).
The above five herbs. Boil in 6 sheng of water. Decoct to obtain 2 sheng. Remove the dregs. Add Mangxiao. Simmer slightly again. Divide into two warm doses. Slight diarrhea indicates cure.
Song says: Add 4 liang of Fuling and do not use Shigao. Mangxiao 3 he displays wondrous strategy. When Qi moves and then gathers, know it is excess. Using softness to grind hardness requires no effort.
Wei Nianting said. The reason for removing Shigao and adding Mangxiao from the previous formula is that since the pathogenic factor has scattered and re-aggregated, there are solid substances remaining as a capsule. Therefore, use hard to attack hard.
Treats Zhiyin (fluid retention with branching distribution) under the heart. The patient suffers from severe vertigo and dizziness. This formula is indicated.
Zexie (5 liang), Baizhu (2 liang).
The above two herbs. Boil in 2 sheng of water. Decoct to obtain 1 sheng. Divide into two warm doses.
Song says: In the position of clear Yang, fluid pathogens take advantage. Vertigo and dizziness occur frequently, suffering is unbearable. Zexie 5 liang as Sovereign herb, Baizhu 2 liang. Tonifying Spleen and controlling water has miraculous ability.
Disciple Lin Lifeng notes. The Heart is Yang within Yang. The head is the convergence of all Yang meridians. Human Yang Qi is like the Sun in the sky. Because of the Sun, Heaven is bright.
Converging at the head. Therefore, Zexie Tang is used as the main treatment. Presumably, Zexie has sweet and cold properties. Growing in water, obtaining Yin Qi of water, it can promote urination. One stem grows straight up, able to go from below to above. Seeking same Qi, it leads the Yin Qi of water downward. However, fearing that Water Qi will rise again after going down, Baizhu's sweet and warm nature is used to fortify Earth and control Water to block it.
Regarding the eyes... extinguish. However, those who master this way...
Treats Zhiyin causing chest fullness. This formula is indicated.
Houpo (1 chi), Dahuang (6 liang), Zhishi (4 pieces).
The above three herbs. Boil in 5 sheng of water. Decoct to obtain 2 sheng. Divide into two warm doses.
Song says: The chest is a Yang position, similar to the sky. Zhiyin fills the chest, causing fullness and obstruction. 1 chi Houpo as Sovereign herb regulates Qi compartment. 4 pieces Zhishi and 6 liang Dahuang attack.
Yuanxi notes. Zhiyin refers to having distinct branches. The chest is the pathway of Yang Qi. Fluid retention is a Yin pathogen. Speaking of chest fullness means Yin occupies the Yang position.
Filling and blocking the chest causes fullness. Using Houpo as Sovereign herb, bitter taste and warm nature, it is a herb for Qi compartment. Bitter descends and warms opens, allowing Yang Qi to flow freely, thus transforming the fluid retention in the chest. Zhishi is round and fragrant; fragrance awakens the Spleen; roundness implies rotation, so it is used as an Assistant herb. Followed by Dahuang, directly opening the Earthly Path (intestines). Once the Earthly Path is open, how can fluid retention not flow down and exit?
Another note. Xiao Chengqi Tang uses Qi-regulating herbs as Ministers. This formula uses Qi-regulating herbs as Sovereigns. The intent is that when Qi moves, Water also moves. The meaning is profound. Sanwu Tang, Xiao...